NPI 1629187521 · live from the CMS NPI Registry
Baraga County Extended Care Corporation
Skilled Nursing Facility in Lanse, MI. National Provider Identifier 1629187521, active.
NPI record
| NPI | 1629187521 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 832 Sicotte St, Lanse, MI 49946 |
| Practice phone | 906-524-6531 |
| Enumerated | August 30, 2006 |
| Last updated | May 8, 2026 |
| Authorized official | Emily Dault, Administrator |
| Other names | Dr. Louis & Anne Guy Bayside Village |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 074010 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.